23 (4)
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2023
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catalogue – 43669
ANTINOMIES
Until 01.01.2019 - Scientific Yearbook of the Institute of Philosophy and Law of the Ural Branch of the Russian Academy of Sciences

ISSN 2686-7206 (Print)

ISSN 2686-925X (Оnlinе)

Dyakova Elena

Abstract: The article describes the process of social adoption of informational Technology using the example of the health care system in the Sverdlovsk region. The article is based on the
results of qualitative social research with the participation of the staff of regional health institutions and developers of medical information systems (employees of the Medical Information and Analytical Center of Sverdlovsk region). The author analyzes the causes of organizational resistance to the introduction and use of medical information systems (MIS). The author pays special
attention to the attitude of employees of health institutions towards the formation of a Unified State Health Information System (EGISZ) and electronic appointment system. The author shows
the lack of effective communication between medical professionals and MIS developers. Developers think that they know better what physicians need. They are convinced that physicians have
to accept the proposed solutions regardless of their wishes. The tendency to ignore the causes of organizational resistance of health care workers is one of the most important factors contributing to the low efficiency of MIS.
Keywords: social adoption of technology, health care computerization, Unified State Health Information System, main actors, organizational resistance.

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